This page is to document fatalities that appear to be related to an NBOMe compound not otherwise covered on Erowid or where one of the NBOMe chemicals is suspected but the specific chemical has not been identified. A number of deaths have been attributed to direct pharmacological effects of NBOMe compounds and behavioral fatalities resulting from intoxicated behaviour. Erowid has pages for 25I-NBOMe-related Fatalities and 25C-NBOMe-related Fatalities.

The DEA's Emergency Scheduling order states that they have documentation that implicates NBOMe compounds in at least 17 deaths. See Federal Register 78:221.

If you know of a confirmed fatality that is not listed on this page, please let us know.

John J Romaine reportedly took two blotter hits of 25B-NBOMe blotter previously tried by his brother. After a couple of hours, he was found with blue lips, vomit on his cheeks, apparently dead or near death. Although 911 was called, CPR and defribillation applied, he did not revive.

HAMILTON COUNTY, Ind. (April 1, 2014): Police have opened a criminal investigation into the death of a Hamilton County teen, who made have died after ingesting synthetic drugs. John Joseph Romaine, 18, was found unresponsive in his Fishers home Friday evening. According to his obituary, the Hamilton Southeastern High School senior died of cardiac arrest. The Hamilton County coroner is waiting on toxicology results before ruling an official cause, but police are looking into a possible overdose of synthetic drugs. "Officers got there and observed a male lying on the floor and immediately began CPR until medics arrived," said Officer James Alvis, a spokesman for Fisher Police. All three were hospitalized, and Romaine was later pronounced dead. A Reddit post, which appears to be written by Romaine's older brother, describes the night in detail and points the blame on a new synthetic drug called N-Bomb or NBOME.

Renee Honaker took two blotter hits of what she wrongly believed to be LSD on Thursday, February 28 2013, and was hospitalized soon thereafter on March 1, 2013. She died that day and her husband was charged with murder for supplying the substance. Although we have not seen clear toxicology results, an article by a local news source on June 22, 2013 indicated that the substance was not LSD, but one of the NBOMe compounds. This was suspected and reported by Erowid and others from the first news of Ms. Honaker's death. This is no longer considered an LSD-related fatality and is, instead, an example of a death mistakenly attributed to LSD.

The deputy chief medical examiner, Dr. Al Mock, says the drug is called NBOMe and has only been around a year or less. There's still more to be learned about the drug, but the medical examiner says its effects are similar to acid. This is the first time Dr. Mock has seen anybody die from it.

Police charged a Roane County man with first-degree murder Friday when his wife died from two hits of LSD he allegedly gave to her. A Washington state chemist also was charged with murder Saturday after police said he manufactured and mailed the LSD strips to the couple.

Police in Charleston, West Virginia, have charged Todd Anthony Honaker with first-degree murder, punishable by a mandatory life sentence, because his wife died after dropping acid with him. The charge is outrageous for several reasons: Honaker did not force his wife to consume LSD, he did not intend to kill her, toxicological tests have not been completed yet, and, perhaps most important, LSD is nontoxic.

Honaker was initially charged with felony murder and delivery of a controlled substance in the March incident, but Downey said matters changed as the case progressed. Authorities initially believed that Renee Honaker had ingested a fatal dose of LSD, but they soon found that what she'd taken wasn't LSD at all. [...]
An autopsy of Renee Honaker showed she died as a result of the abuse of a synthetic hallucinogen called 25-B-NBOMe and "non-prescribed pharmaceuticals," according to a search warrant filed Dec. 3 in U.S. District Court.

In a fatal mistake, the 21-year-old college student from Slidell also agreed to snort a drop of a mysterious drug [Identified only as "n-bomb"].
Neighbors later heard her screaming. She fell into seizures, suffered brain damage and died at a hospital the next day.

Authorities say earlier this year, Watts and Lopez, both SLU students, took synthetic LSD [sic] provided by Watts. But hours later, Lopez was declared brain-dead following seizures. Her parents made the difficult decision to take her off of life support.

Behavioral fatalities include accidents and deaths resulting from inebriated behavior. Because strong psychoactives can alter judgement, people can and do engage in dangerous behavior while on NBOMe-compounds or as they come down. Especially at high doses, psychedelics can radically alter perception of reality, link normally disconnected ideas, and trigger questioning of basic assumptions about the world.

It is extremely difficult to determine an LD50 for a drug in humans. LD50s are only ever experimentally determined in animals, and extrapolations from one species to another for lethal dose are notoriously unreliable. With new drugs like 2C-I-NBOMe or 2CB-NBOMe, there often isn't any animal data to extrapolate from.